Rajeev D Sen1, Gabrielle White-Dzuro1, Jacob Ruzevick1, Choll W Kim2, Jens-Peter Witt3, Albert E Telfeian4, Michael Y Wang5, Christoph P Hofstetter6. 1. Department of Neurological Surgery, University of Washington, Seattle, Washington, USA. 2. Department of Neurological Surgery, The Spine Institute of San Diego, San Diego, California, USA. 3. Department of Neurological Surgery, The Spine Center at University of Colorado Hospital, Boulder, Colorado, USA. 4. Department of Neurological Surgery, Brown University, Providence, Rhode Island, USA. 5. Department of Neurological Surgery, University of Miami, Miami, Florida, USA. 6. Department of Neurological Surgery, University of Washington, Seattle, Washington, USA. Electronic address: chh9045@uw.edu.
Abstract
OBJECTIVE: To report on intra- and perioperative complications associated with working channel endoscopic spine surgery. METHODS: This study is a retrospective chart review of a multi-institutional patient cohort operated on by surgeons within the Endoscopic Spine Study Group between May 2010 and June 2017. RESULTS: Our study cohort consists of a total of 553 consecutive cases with an average age of 57 years. The most common procedure was an endoscopic discectomy (n = 377, 68%) followed by foraminotomy (n = 156, 28.2%), unilateral laminotomy for bilateral decompression (n = 55, 9.9%), and lateral recess decompression (n = 29, 5.2%). Overall, the rate of intra- and perioperative complications was 2.7%. There were 3 durotomies (0.54%), 2 epidural hematomas (0.36%), 2 patients developed a complex pain disorder (0.36%), 4 recurrent disc herniations within 3 months (1.1%), 4 systemic complications (1.1%), and no wound infections. No risk factors were identified with regards to age, sex, approach, or number of segments. CONCLUSIONS: Endoscopic spine surgery is associated with a favorable rate of intra- and perioperative complications compared with reported rates of minimally invasive ortraditional open spine surgeries. Our report proposes safe and effective strategies for management of these complications.
OBJECTIVE: To report on intra- and perioperative complications associated with working channel endoscopic spine surgery. METHODS: This study is a retrospective chart review of a multi-institutional patient cohort operated on by surgeons within the Endoscopic Spine Study Group between May 2010 and June 2017. RESULTS: Our study cohort consists of a total of 553 consecutive cases with an average age of 57 years. The most common procedure was an endoscopic discectomy (n = 377, 68%) followed by foraminotomy (n = 156, 28.2%), unilateral laminotomy for bilateral decompression (n = 55, 9.9%), and lateral recess decompression (n = 29, 5.2%). Overall, the rate of intra- and perioperative complications was 2.7%. There were 3 durotomies (0.54%), 2 epidural hematomas (0.36%), 2 patients developed a complex pain disorder (0.36%), 4 recurrent disc herniations within 3 months (1.1%), 4 systemic complications (1.1%), and no wound infections. No risk factors were identified with regards to age, sex, approach, or number of segments. CONCLUSIONS: Endoscopic spine surgery is associated with a favorable rate of intra- and perioperative complications compared with reported rates of minimally invasive ortraditional open spine surgeries. Our report proposes safe and effective strategies for management of these complications.
Authors: Christoph P Hofstetter; Yong Ahn; Gun Choi; J N A Gibson; S Ruetten; Yue Zhou; Zhen Zhou Li; Christoph J Siepe; Ralf Wagner; Jun-Ho Lee; Koichi Sairyo; Kyung Chul Choi; Chien-Min Chen; A E Telfeian; Xifeng Zhang; Arun Banhot; Pramod V Lokhande; N Prada; Jian Shen; F C Cortinas; N P Brooks; Peter Van Daele; Vit Kotheeranurak; Saqib Hasan; Gun Keorochana; Mohammed Assous; Roger Härtl; Jin-Sung Kim Journal: Global Spine J Date: 2020-05-28